Sriman Swarup, MD, MBA

A board-certified hematologist-oncologist and the cofounder of OncoNexus, an AI-driven oncology workflow platform.

About

Sriman Swarup is a board-certified hematologist-oncologist and the cofounder of OncoNexus, an AI-driven oncology workflow platform focused on improving efficiency and care delivery. He also leads Swarup Medical PLLC, where he consults on clinical systems design, health equity, and digital health transformation. Practicing in rural Arizona, Dr. Swarup manages more than 3,000 patient encounters each year while advising startups and health systems on innovation and health care strategy. He writes about medicine, technology, and health care leadership at his website.

Latest articles

Physician voices

Physician credentialing delays should carry a consequence

Sriman Swarup, MD, MBA

August 11, 2026Aug 11, 2026

Physicians are taught to accommodate. A clinic runs behind. We stay late. A colleague calls out. We cover. Credentialing takes longer than expected. We send another document. An administrator needs another week. We wait. Much of this is appropriate. Health…

Much of this is appropriate. Health care is complicated, and functioning organizations depend on people extending one another reasonable grace. But there is a point at which accommodation stops being professionalism and starts becoming an incentive.

I was …

Physician voices

Reviewing locum tenens agreements: Look beyond the hourly rate

Sriman Swarup, MD, MBA

February 20, 2026Feb 20, 2026

I was halfway through reviewing what looked like an excellent locums opportunity when I realized the hourly rate was the least important number in the agreement. The compensation was strong. The schedule was flexible. Travel was covered. On the surface,…

But what ultimately determined whether the opportunity made sense had very little to do with pay. It had to do with clarity.

The difference between conversations and contracts

Locums conversations …

Conditions and diseases

Why EMR usability is a patient safety issue

Sriman Swarup, MD, MBA

December 7, 2025Dec 7, 2025

As an oncologist, I've sat through the 24- to 48-hour EMR trainings that claim to prepare clinicians for new systems. They rarely do. The average physician still spends one to two days in technical onboarding and another month fumbling through…

As an oncologist, I’ve sat through the 24- to 48-hour EMR trainings that claim to prepare clinicians for new systems. They rarely do. The average physician still spends one to two days in technical onboarding and another month fumbling through screens before feeling comfortable. Versions vary wildly even within the same vendor, and every move to a new hospital resets the learning curve.

One night in a rural hospital, I watched …

Health technology

Why medical notes have become billing scripts instead of patient stories

Sriman Swarup, MD, MBA

August 28, 2025Aug 28, 2025

We tell ourselves documentation is for patient safety. For continuity. For protection. But let's be honest. It's for billing. And once you see that clearly, it is hard to unsee. In training, I was taught that the note reflects the…

We tell ourselves documentation is for patient safety. For continuity. For protection. But let’s be honest. It’s for billing. And once you see that clearly, it is hard to unsee.

In training, I was taught that the note reflects the thinking of the physician. That it should tell the story of the patient and the rationale for each decision. But in practice, it does not. It is a tool for revenue …